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Tennessee rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.32 / $1,794.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $75.39 / $121.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.00 / $2,066.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.18 / $94.84 / $152.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.35 / $375.00 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.02 / $88.23 / $155.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $411.60 / $417.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.84 / $538.79 / $631.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.64 / $101.50 / $172.42